Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - Nights

Top Echelon LLC; Great Falls (MT); On-site; USD 115,000 - 125,000; Full time

Benefits offered by this job

$25,000 retention bonus

Three 12-hour shifts per week

Health, dental, vision insurance

Retirement savings plan with employer

Medical malpractice insurance

Generous PTO

Job summary

Top Echelon LLC in Great Falls, MT is seeking a CVICU Registered Nurse for night shifts, offering an annual compensation of $115,000 to $125,000 and a 3x12s schedule (7:00 PM – 7:30 AM). This hospital-based role emphasizes high nurse-to-patient ratios, strong administrative support, and a teamwork-driven culture within the inpatient CVICU setting.

Qualified candidates will hold MT RN licensure (ADN required, BSN preferred), BLS/ACLS, with PALS due within 6 months; experience in cardiovascular

Qualifications

• Graduate of an accredited nursing program (ADN required; BSN preferred).
• Active, unrestricted RN license in Montana (or multi-state compact).
• BLS and ACLS required; PALS within 6 months of hire; EPNC/TNCC preferred.

Responsibilities

• Provide direct clinical care to CVICU patients from admission through discharge.
• Operate advanced cardiac and life-support equipment (ventilators, CRRT, arterial/central lines).
• Monitor patients with IABP/Impella and collaborate with the team for evidence-based plans.

Skills

Cardiac ICU experience

Critical care nursing

Ventilator management

Education

Associate Degree in Nursing

BSN preferred

Tools

Impella pumps

IABP

CRRT

Electronic documentation

Job description

Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - Nights

Compensation: $115k - $125k

Job Type: Full-Time | On-Site | Shift: 3x12s | Nights (7:00 PM – 7:30 AM)

Setting: Inpatient CVICU / Critical Care

Location: Great Falls, Montana

We have partnered closely with a prominent regional healthcare system to secure a full-time, dedicated nursing professional for their inpatient critical care services division. We are currently seeking an experienced CVICU Registered Nurse (RN) to join a specialized clinical team on the night shift. This hospital‑based position is ideal for an RN looking for a supportive environment that emphasizes excellent nurse‑to‑patient ratios, robust administrative backing, and a strong culture of teamwork and compassion.

Tucked into a scenic Montana community known for an exceptional quality of life and outdoor recreation, this role provides an ideal balance of professional clinical development and personal lifestyle stability.

Responsibilities:

• Provide high-quality, direct clinical care to medical, surgical, and cardiovascular patients requiring advanced physiological monitoring from admission through discharge.
• Manage and operate advanced cardiac and life‑support equipment, including mechanical ventilators, central lines, arterial lines, multiple titration IV pumps, and Continuous Renal Replacement Therapy (CRRT).
• Monitor and manage patients utilizing advanced cardiac assist devices, such as intra‑aortic balloon pumps (IABP) and Impella pumps.
• Serve as a clinical leader on the floor, providing direction and collaborative support to RNs, LPNs, CNAs, and ancillary hospital staff.
• Collaborate closely with Providers, Charge Nurses, and nurse leadership to implement evidence‑based care plans and thorough discharge planning.
• Maintain meticulous, timely electronic documentation of patient status, interventions, and clinical outcomes.

Qualifications:

• Education: Graduate of an accredited nursing program (Associate Degree in Nursing required; Bachelor of Science in Nursing preferred).
• Licensure: Active, unrestricted Registered Nurse (RN) licensure in the State of Montana (or immediate compact/endorsement eligibility).
• Certifications: Core certifications in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) are required. Must complete PALS courses within 6 months of hire. EPNC and TNCC certifications are preferred; Pediatric Advanced Life Support (PALS) is also noted as preferred on qualifications.
• Required Experience: Proven post‑graduate clinical practice in an advanced Medical/Surgical unit coupled with recent Critical Care/ICU nursing experience specifically involving cardiovascular surgery patients.
• Preferred Experience: 1 to 2 years of dedicated Cardiac Surgical ICU experience is strongly preferred. Hands‑on clinical familiarity with Impella pumps, cardiac balloon pumps, and CRRT equipment is preferred.
• Core Skills: Advanced nursing principles and procedures, proficiency with basic office equipment, use of multiple IV pumps, and ability to operate advanced medical equipment.

Benefits

• $25,000.00 Retention Bonus to support your transition and long‑term commitment to the team. (Please note: This incentive is available for external candidates only).
• Highly desirable schedule consisting of three 12-hour shifts per week (3x12s), allowing for 4 days off weekly.
• Strong, industry‑leading nurse‑to‑patient ratios designed to prevent burnout and maximize patient safety.
• Full health, dental, and vision insurance packages.
• Robust retirement savings plan with a generous employer matching contribution.
• Fully covered medical malpractice insurance.
• Generous paid time off (PTO) allocation to support a healthy work‑life balance.

Note on Compensation & Hiring Requirements: Final hourly compensation will be verified and determined by the organization based on your documented years of critical care experience. All job offers are contingent upon the successful completion of standard pre‑employment screenings, including a criminal background check, drug screening, and health/immunization verification.

Note on Employment Status: The comprehensive benefits package and compensation structure detailed above are explicitly offered for full‑time positions. Eligible benefits may vary or be prorated for part‑time arrangements.